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2021/10/28 I.E. General Engineering, Inc.03/29/2022 Diamond Valley Insurance Services, Inc. 41856 Ivy Street # 108 MURRIETA, CA 92562 License #: 0H94716 Frances L. Brooks (951)553-7400 (951)296-6808 frances@diamondvalleyins.com 00000896-0 466 I. E. GENERAL ENGINEERING Gene M. Parker 1440 BEAUMONT AVE, STE A2-130 BEAUMONT, CA 92223 Great American E&S Ins. Co.37532 A Y Y E784526 10/28/2021 10/28/2022X X X 1,000,000 50,000 5,000 1,000,000 2,000,000 2,000,000 Integon National Insurance Company 29742 B Y 2008152888 08/31/2021 08/31/2022 X X X X Comp Ded 1,000X Collision Ded 1,000 1,000,000 Scottsdale Insurance Company 41297 C XLS0121235 10/28/2021 10/28/2022XX 4,000,000 4,000,000 National Liability & Fire Insurance Co.20052 D Y A9WC294861 10/01/2021 10/01/2022 X 1,000,000 1,000,000 1,000,000 RLI Insurance Company 13056 E ILM0710653 04/10/2021 04/10/2022Leased/Rented Equip Deductible 1,000 250,000 Zurich American Insurance Company F BR73973629 03/01/2022 03/01/2023Builder's risk Limit At Any Single 106,285 City of Menifee, its officers, agents and employees named as additionally insured. 30 days notice of intent to cancel, except 10 days for non payment of premium. Job: Pickle Ball Court at John Denver Park City of Menifee Attn: Margarita Cornejo, Financial Services Manager 29844 Haun Road Menifee, CA 92586 (FLB) Printed by FLB on 03/29/2022 at 03:44PM ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? INSR ADDL SUBR LTR INSD WVD DATE (MM/DD/YYYY) PRODUCER CONTACT NAME: FAXPHONE (A/C, No):(A/C, No, Ext): E-MAIL ADDRESS: INSURER A : INSURED INSURER B : INSURER C : INSURER D : INSURER E : INSURER F : POLICY NUMBER POLICY EFF POLICY EXPTYPE OF INSURANCE LIMITS(MM/DD/YYYY)(MM/DD/YYYY) AUTOMOBILE LIABILITY UMBRELLA LIAB EXCESS LIAB WORKERS COMPENSATION AND EMPLOYERS' LIABILITY DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) AUTHORIZED REPRESENTATIVE EACH OCCURRENCE $ DAMAGE TO RENTED CLAIMS-MADE OCCUR $PREMISES (Ea occurrence) MED EXP (Any one person)$ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER:GENERAL AGGREGATE $ PRO-POLICY LOC PRODUCTS - COMP/OP AGG $JECT OTHER:$ COMBINED SINGLE LIMIT $(Ea accident) ANY AUTO BODILY INJURY (Per person)$ OWNED SCHEDULED BODILY INJURY (Per accident)$AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $AUTOS ONLY AUTOS ONLY (Per accident) $ OCCUR EACH OCCURRENCE $ CLAIMS-MADE AGGREGATE $ DED RETENTION $$ PER OTH- STATUTE ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ If yes, describe under E.L. DISEASE - POLICY LIMIT $DESCRIPTION OF OPERATIONS below INSURER(S) AFFORDING COVERAGE NAIC # COMMERCIAL GENERAL LIABILITY Y / N N / A (Mandatory in NH) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). COVERAGES CERTIFICATE NUMBER:REVISION NUMBER: CERTIFICATE HOLDER CANCELLATION © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORDACORD 25 (2016/03) CERTIFICATE OF LIABILITY INSURANCE DocuSign Envelope ID: BA65657D-B64C-4B04-A30A-B6115CA3C4C5 DocuSign Envelope ID: BA65657D-B64C-4B04-A30A-B6115CA3C4C5 DocuSign Envelope ID: BA65657D-B64C-4B04-A30A-B6115CA3C4C5 DocuSign Envelope ID: BA65657D-B64C-4B04-A30A-B6115CA3C4C5 DocuSign Envelope ID: BA65657D-B64C-4B04-A30A-B6115CA3C4C5 DocuSign Envelope ID: BA65657D-B64C-4B04-A30A-B6115CA3C4C5 DocuSign Envelope ID: BA65657D-B64C-4B04-A30A-B6115CA3C4C5 DocuSign Envelope ID: BA65657D-B64C-4B04-A30A-B6115CA3C4C5 DocuSign Envelope ID: BA65657D-B64C-4B04-A30A-B6115CA3C4C5 DocuSign Envelope ID: BA65657D-B64C-4B04-A30A-B6115CA3C4C5 DocuSign Envelope ID: BA65657D-B64C-4B04-A30A-B6115CA3C4C5 DocuSign Envelope ID: BA65657D-B64C-4B04-A30A-B6115CA3C4C5 DocuSign Envelope ID: BA65657D-B64C-4B04-A30A-B6115CA3C4C5